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目的探讨食管癌肉瘤和肉瘤样癌的X线表现及病理特点,以提高对其认识。资料与方法分析10例食管癌肉瘤和肉瘤样癌患者的X线、病理资料并复习文献。结果食管钡餐检查表现为食管腔内充盈缺损。病理表现为癌与肉瘤两种成分同时存在。结论食管癌肉瘤是同一肿瘤中既有癌又有肉瘤成分的复合肿瘤,食管肉瘤样癌本质是一种特殊类型的癌。当食管吞钡见腔内充盈缺损,且病变段有梭形扩张时,应考虑本病可能。两者手术切除预后较好,区分两者实用意义不大。
Objective To investigate the X-ray findings and pathological features of esophageal sarcoma and sarcomatoid carcinoma in order to improve their understanding. Materials and Methods 10 cases of esophageal sarcoma and sarcomatoid carcinoma of the X-ray, pathological data and review the literature. Results The results of esophageal barium meal examination showed filling defect of esophageal cavity. Pathological manifestations of both cancer and sarcoma exist. Conclusion Esophageal sarcoma is a complex tumor with both carcinoma and sarcoma in the same tumor. Esophageal sarcomatoid carcinoma is a special type of cancer. When the esophageal barium see intraluminal filling defect, and the lesions have a spindle-shaped expansion, the disease should be considered. Both surgical resection better prognosis, the distinction between the two practical significance.